Homestead_Savage,_ _ _ , . . ,- _ _
Jenny Mayer
Preparer of the Svlu Dislosure Form
226 W Broadway
ACdress (NUmber and SveetJ
Princeton.IN 47670
Ciry. Smre, end ZlP Code
E. SELLER(S)/GRANTOR(S)
Craig A. Harpe
Seller 7- Nome os appenrs m ronveyanre documen[
505 N Second Street
Address (Num6er and Str¢e[)
Owensvilie, IN 47665
Ciry.Smte, andZlPCode
Searcher
n�re
Broadway Tille, Inc.
Seller 2- 7Tame as appeohGn ronveyance dxument
�o m�. oi,�� ��.
Addrezs (Number and StreetJ
Ciry.
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and
Ynd-�e as� uired by law, and is prepared in accordance with IC 6-L1-S.S, "Real Property Sales
5lgnamreoJSelle�/ / S�(°natureof5eller
CraigA.Harpe y (1�-�-2J15 (,,,�0.�c� }�Q�.P,Q.
foTiT:7
Chase H. Savage
Buyer 7� A'ame as apyeors on ronveyante document
930 N. Cherry Street
Addres (Nvmber and 5[reeQ
Mt. Carmel, IL 62863
Ciq', Smre. end Z(P CoCe
Buyer 2� A'ame os appeors on
Address (Number and StreetJ
Ciry, Smte, and ZIPCade
THE SALE$ DISCLOSURE FORM MA1' BH USED TO APPLY FOR CERTAIN DHDURIOYS FON TNIS PROPERTY. IDENTIFY ALL OF
\O COYDIiION
❑✓ ❑ 1. Will this property be the buyer's prim
residence? Provide complete address
residence, including county:
505 N Second.Street
Address (Numher and StreeQ
Owensville, IN 47665 Gibson
Ciry, Smre Z/P Code Cavnty
❑ �✓ 2. Does the buyer have a homestead in Indiana co be
vacated for this residence? if yes, provide
complete address of residence being vacated,
including county:
Address (Number and Svee[)
liry, Smte ZIPCode Counry
❑� ❑
❑ o
3. Homestead
5. Wind Power Device
E mail
is true, correct
sure Ac[".
��y�
�\
❑ �✓ 6. Hydroelectric Power Device
❑ 0✓ 7. Geothermal Energy Heating/Cooling Device
❑ ❑✓ 8. Is this property a residential rental property?
❑ ❑ 9. Would you like to receive tax st� tements for this
property ��a e-mail? (Provide conmct information
below. Please see instructionsfor more information.
Not available in all counties.)
�co-i�1-�I-�l-o�-c�oa 4-� ;/--oaa
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the bes[ of my knowledge and beli
and complete as required by la�v, and is prepared in accordance �vith IC 6-1.1-5.5, "Real Proper[y Sales Dis
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homes[ea
being filed.)
X //�i
Signamre ofBuyer] � �l ,,'� Signomre af Buyer7/Spouse
Chase H. Savage y � ���,{/�
Pnn�edGegalNameofBuyer7 SignDare(M�a/DD/YYYY� Pnn[edGegolNameofBuyer7/Spouse
�
Last 5 digi6 o(Buyer ] Oriver"5 State Last 5 Digirs o(Social Securiry Num6er Last 5 digi[s a(Buyer 2/Spouse Driver's Smte Lasl
License/ID/OCherNum6er Number License/ID/0[herNumber
E-mail
, is true, correct
�sure Act". (Note:
Deduction is
Sign Da[e(MX/OD/YYYI'�
sec��rty